Scenario Overview
Patient: Marvin Hayes
Diagnosis: Laparoscopic abdominal perineal resection with sigmoid colostomy for rectal cancer (adenocarcinoma)
Brief Summary:
Marvin Hayes is a 43-year-old white male pat
...
Scenario Overview
Patient: Marvin Hayes
Diagnosis: Laparoscopic abdominal perineal resection with sigmoid colostomy for rectal cancer (adenocarcinoma)
Brief Summary:
Marvin Hayes is a 43-year-old white male patient diagnosed with rectal cancer. He underwent a laparoscopic abdominal perineal resection with a permanent colostomy three days ago.
The students are expected to assess the stoma and incision, and to perform a focused gastrointestinal assessment. Students are also expected to assess the patient’s ability to advance to full diet and to provide colostomy care, including emptying an open-ended pouch, noticing leakage, and changing the skin barrier. Finally, students should provide patient education on colostomy care.
Learning Objectives
General:
□ Assess patients to recognize normal versus abnormal findings
□ Respond to changes in patient status
□ Assume accountability for the plan of care by order of priority, implementation and evaluation
□ Use standard precautions when caring for the patient
□ Ensure patient and healthcare provider safety
□ Collaborate appropriately with the healthcare team in a timely, organized, and patient-specific manner
□ Use critical thinking when making clinical judgments and decisions
□ Establish a therapeutic environment for the patients and their families
□ Use therapeutic communication techniques in a manner that illustrates caring for the patient’s overall well-being
Scenario-Specific:
Analyze vital signs and postoperative lab trends
Assess gastrointestinal function, output from colostomy, and ability to advance current diet
Evaluate the stoma, peristomal skin, and abdominal and perineal incisions
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